Fundamentals Of Nursing IV: Www.Rnpedia.Com
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Which of the following is a OBJECTIVE data?
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Dizziness
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Chest pain
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Anxiety
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Blue nails
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Mark the letter of the letter of choice then click on the next button. Score will be posted as soon as the you are done with the quiz. You got 120 minutes to finish the exam. Good luck!Content Outline1. The nursing process2. Physical Assessment3. Health Assessment3. A Temperature3. B Pulse3. C Respiration3. D Blood pressure 4. Routine Procedures4. A Urinalysis specimen collection4. B Sputum specimen collection4. C Urine examination4. D Positioning pre-procedure4. E Stool specimen collection
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- 2.
When is the best time to collect urine specimen for routine urinalysis and C/S?
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Early morning
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Later afternoon
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Midnight
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Before breakfast
Correct Answer
A. Early morningExplanation
The best time to collect a urine specimen for routine urinalysis and C/S is early morning. This is because the urine is more concentrated in the morning, which allows for better analysis and detection of abnormalities. Additionally, the first morning urine sample is more likely to contain any overnight bacteria that may have multiplied, making it ideal for culture and sensitivity testing. Collecting the urine before breakfast also ensures that any potential contaminants from food or drink consumed throughout the day are minimized.Rate this question:
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- 3.
If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?
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To ensure that the doctor performs the procedure safely
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To assist the doctor
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To assess the client’s response to examination
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To ensure that the procedure is done in an ethical manner
Correct Answer
A. To ensure that the procedure is done in an ethical mannerExplanation
Having a female nurse in attendance during a vaginal and cervical examination when the client is female and the doctor is male is necessary to ensure that the procedure is done in an ethical manner. This is because it respects the client's privacy, dignity, and cultural beliefs. It helps to create a comfortable and safe environment for the patient, ensuring that her rights are protected and that the examination is conducted with professionalism and sensitivity.Rate this question:
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- 4.
Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? 1. Rhina is giving an objective data 2. Rhina is giving a subjective data 3. The source of the data is primary 4. The source of the data is secondary
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1,3
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2,3
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2.4
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1,4
Correct Answer
A. 2,3Explanation
Rhina stating that her environment is moving is a subjective data because it is based on her personal perception and experience. The source of the data is primary because it is coming directly from Rhina, the person experiencing Menieres disease.Rate this question:
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- 5.
The difference between the systolic and diastolic pressure is termed as
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Apical rate
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Cardiac rate
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Pulse deficit
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Pulse pressure
Correct Answer
A. Pulse pressureExplanation
Pulse pressure refers to the difference between the systolic and diastolic blood pressure. It is calculated by subtracting the diastolic pressure from the systolic pressure. Pulse pressure is an important measure of cardiovascular health and can indicate the elasticity and efficiency of the arteries. A higher pulse pressure may suggest stiff arteries or increased risk of cardiovascular diseases, while a lower pulse pressure may indicate low cardiac output or heart failure.Rate this question:
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- 6.
Too narrow cuff will cause what change in the Client’s BP?
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True high reading
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True low reading
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False high reading
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False low reading
Correct Answer
A. False high readingExplanation
If the cuff used to measure the client's blood pressure is too narrow, it will cause a false high reading. This is because a narrow cuff will result in increased pressure on the client's arm, leading to a higher recorded blood pressure reading than the actual value.Rate this question:
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- 7.
The best position for any procedure that involves vaginal and cervical examination is
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Dorsal recumbent
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Side lying
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Supine
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Lithotomy
Correct Answer
A. LithotomyExplanation
Lithotomy position is the best position for procedures that involve vaginal and cervical examination. In this position, the patient lies on their back with their legs flexed and thighs apart, allowing easy access to the vaginal and cervical area. This position provides optimal visibility and accessibility for the healthcare provider to perform the examination effectively and comfortably. It is commonly used for procedures such as Pap smears, pelvic exams, and childbirth.Rate this question:
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- 8.
When should the client test his blood sugar levels for greater accuracy?
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During meals
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In between meals
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Before meals
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2 Hours after meals
Correct Answer
A. Before mealsExplanation
Testing blood sugar levels before meals allows the client to get an accurate baseline reading of their blood sugar level, as it is not influenced by the intake of food. This helps to determine the fasting blood sugar level, which is crucial for managing diabetes and making appropriate adjustments to medication or diet. Testing before meals provides a more accurate reflection of the client's true blood sugar level, allowing for better control and management of their condition.Rate this question:
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- 9.
The heat regulating center is found in the
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Medulla oblongata
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Thalamus
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Hypothalamus
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Pons
Correct Answer
A. HypothalamusExplanation
The hypothalamus is responsible for regulating body temperature. It acts as the heat regulating center by receiving input from temperature sensors throughout the body and initiating appropriate responses to maintain a constant internal temperature. It can activate mechanisms such as sweating or shivering to cool down or warm up the body as needed. The other options, including the medulla oblongata, thalamus, and pons, do not have a direct role in regulating body temperature.Rate this question:
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- 10.
A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.
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Functional health framework
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Head to toe framework
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Body system framework
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Cephalocaudal framework
Correct Answer
A. Functional health frameworkExplanation
The functional health framework is a comprehensive approach to health assessment that considers the effects of stressors on the mind, body, and environment. It also takes into account the client's ability to perform activities of daily living (ADL). This framework focuses on evaluating the client's overall functional status and how it is impacted by various stressors. It provides a holistic view of the client's health and helps identify areas of concern that may need intervention or support.Rate this question:
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- 11.
David, 68 year old male client is scheduled for Serum Lipid analysis. Which of the following health teaching is important to ensure accurate reading?
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Tell the patient to eat fatty meals 3 days prior to the procedure
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NPO for 12 hours pre procedure
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Ask the client to drink 1 glass of water 1 hour prior to the procedure
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Tell the client that the normal serum lipase level is 50 to 140 U/L
Correct Answer
A. NPO for 12 hours pre procedureExplanation
The correct answer is NPO for 12 hours pre procedure. This is important to ensure accurate reading because fasting before the procedure helps to eliminate any interference from recent food intake, which can affect lipid levels. By not eating for 12 hours prior to the procedure, the client's lipid levels will be more accurately reflected in the test results.Rate this question:
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- 12.
Considered as Safest and most non invasive method of temperature taking
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Oral
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Rectal
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Tympanic
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Axillary
Correct Answer
A. AxillaryExplanation
Axillary temperature taking is considered the safest and least invasive method of measuring temperature. It involves placing a thermometer in the armpit, which is a relatively non-sensitive area of the body. This method is particularly suitable for infants, young children, and individuals who are unable to cooperate or have difficulty with other methods. Axillary temperature taking is also less likely to cause discomfort or injury compared to other methods such as oral or rectal temperature measurements.Rate this question:
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- 13.
In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :
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From bulb to stem
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From stem to bulb
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From stem to stem
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From bulb to bulb
Correct Answer
A. From stem to bulbExplanation
The correct direction for cleaning the thermometer after use to follow Medical Asepsis is from stem to bulb. This is because the stem is the part of the thermometer that comes into contact with the patient's body, and it is important to clean this area first to remove any potential contaminants. Cleaning from stem to bulb ensures that any bacteria or germs are not transferred from the bulb to the stem during the cleaning process.Rate this question:
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- 14.
The following are correct actions when taking radial pulse except:
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Put the palms downward
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Use the thumb to palpate the artery
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Use two or three fingers to palpate the pulse at the inner wrist
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Assess the pulse rate, rhythm, volume and bilateral quality
Correct Answer
A. Use the thumb to palpate the arteryExplanation
Using the thumb to palpate the artery is not a correct action when taking a radial pulse. The thumb has its own pulse and using it to palpate the artery can interfere with accurate assessment of the patient's pulse rate, rhythm, volume, and bilateral quality. It is recommended to use two or three fingers to palpate the pulse at the inner wrist, with the palms facing upward.Rate this question:
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- 15.
Who collects Blood specimen?
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The nurse
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Medical technologist
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Physician
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Physical therapist
Correct Answer
A. Medical technologistExplanation
A medical technologist is responsible for collecting blood specimens. They are trained professionals who have the knowledge and skills to properly collect and handle blood samples from patients. Nurses, physicians, and physical therapists may be involved in patient care, but it is the medical technologist's role to specifically collect blood specimens. They ensure that the samples are collected accurately and safely, following proper procedures and protocols.Rate this question:
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- 16.
Rectal examination is done with a client in what position?
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Dorsal recumbent
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Sims position
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Supine
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Lithotomy
Correct Answer
A. Sims positionExplanation
Rectal examination is done with a client in the Sims position. This position involves the client lying on their left side with the right knee flexed towards the chest. It allows for easy access and visualization of the rectal area, making the examination more comfortable for the client and easier for the healthcare provider to perform. The supine position refers to lying flat on the back, while the lithotomy position involves lying on the back with the legs flexed and supported in stirrups. The dorsal recumbent position is similar to the supine position, but with the knees flexed.Rate this question:
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- 17.
Refers to the pressure when the ventricles are at rest
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Diastole
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Systole
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Preload
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Pulse pressure
Correct Answer
A. DiastoleExplanation
Diastole refers to the phase of the cardiac cycle when the ventricles are at rest and are filling with blood. During diastole, the pressure in the ventricles decreases, allowing blood to flow from the atria into the ventricles. This phase is important for the relaxation and refilling of the heart chambers, preparing them for the next contraction (systole). Therefore, diastole is the correct answer to the question, as it accurately describes the pressure when the ventricles are at rest.Rate this question:
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- 18.
Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?
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Collect urine specimen from the drainage bag
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Detach catheter from the connecting tube and draw the specimen from the port
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Use sterile syringe to aspirate urine specimen from the drainage port
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Insert the syringe straight to the port to allow self sealing of the port
Correct Answer
A. Use sterile syringe to aspirate urine specimen from the drainage portExplanation
When collecting a urine specimen from a client with an indwelling catheter, the correct nursing action is to use a sterile syringe to aspirate the urine specimen from the drainage port. This is the most appropriate method as it ensures the specimen is collected in a sterile manner and minimizes the risk of contamination. Collecting the specimen from the drainage bag or detaching the catheter from the connecting tube are not recommended as they can introduce contaminants. Inserting the syringe straight into the port without aspirating may cause the port to not self-seal properly, leading to potential leakage or infection.Rate this question:
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- 19.
Which of the following statement is TRUE about pulse?
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Young person have higher pulse than older persons
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Males have higher pulse rate than females after puberty
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Digitalis has a positive chronotropic effect
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In lying position, Pulse rate is higher
Correct Answer
A. Young person have higher pulse than older personsExplanation
Young people generally have a higher pulse rate than older individuals. This is because the heart rate tends to decrease with age due to factors such as decreased metabolic rate and overall physical fitness. Additionally, the elasticity of the blood vessels decreases with age, resulting in a slower pulse rate.Rate this question:
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- 20.
How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?
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5
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10
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15
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30
Correct Answer
A. 30Explanation
If the client had engaged in strenuous activities, smoked, or ingested caffeine before taking his/her BP, it is recommended to wait for 30 minutes before measuring the blood pressure. This is because these activities can temporarily increase blood pressure, and waiting for 30 minutes allows the body to return to a more normal state.Rate this question:
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- 21.
Which is a preferable arm for BP taking?
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An arm with the most contraptions
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The left arm of the client with a CVA affecting the right brain
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The right arm
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The left arm
Correct Answer
A. The left armExplanation
The left arm is a preferable arm for BP taking because the question mentions that the client has a CVA affecting the right brain. In cases of CVA (cerebrovascular accident) or stroke, it is common for the opposite side of the body to be affected. Therefore, in this scenario, the right arm is likely to be affected by the CVA, making the left arm a more suitable option for taking blood pressure.Rate this question:
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- 22.
Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?
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Use a clean container
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Discard the first flow of urine to ensure that the urine is not contaminated
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Collect around 30-50 ml of urine
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Add preservatives, refrigerate the specimen or add ice according to the agency’s protocol
Correct Answer
A. Discard the first flow of urine to ensure that the urine is not contaminatedExplanation
Discarding the first flow of urine is an ideal way of collecting a urine specimen for culture and sensitivity because it helps to ensure that the urine sample is not contaminated with bacteria or other substances that may be present in the urethra or external genitalia. By discarding the initial urine flow, the subsequent sample is more likely to accurately represent the urine within the bladder, providing a more reliable result for culture and sensitivity testing.Rate this question:
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- 23.
A process of heat loss which involves the transfer of heat from one surface to another is
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Radiation
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Conduction
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Convection
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Evaporation
Correct Answer
A. ConductionExplanation
Conduction is the correct answer because it refers to the process of heat transfer between objects that are in direct contact with each other. In conduction, heat is transferred through molecular collisions from a region of higher temperature to a region of lower temperature. This process occurs primarily in solids and is responsible for the transfer of heat through objects like metal rods or cooking utensils when they are heated.Rate this question:
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- 24.
Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
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Actual
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Probable
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Possible
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Risk
Correct Answer
A. ActualExplanation
The given nursing diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE is classified as an Actual nursing diagnosis. This is because the client is currently experiencing symptoms of anxiety such as dyspnea, diaphoresis, and asking lots of questions. The nurse has observed these symptoms and made a diagnosis based on the client's current condition.Rate this question:
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- 25.
Among the following statements, which should be given the HIGHEST priority?
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Client is in extreme pain
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Client’s blood pressure is 60/40
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Client’s temperature is 40 deg. Centigrade
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Client is cyanotic
Correct Answer
A. Client is cyanoticExplanation
The highest priority should be given to the statement "Client is cyanotic." Cyanosis is a condition characterized by bluish discoloration of the skin and mucous membranes, indicating a lack of oxygen in the blood. This is a critical sign that suggests a severe respiratory or circulatory problem. Immediate intervention is required to address the underlying cause and improve oxygenation. The other statements, while important, do not indicate an immediate life-threatening condition like cyanosis does.Rate this question:
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- 26.
Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?
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Functional health framework
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Head to toe framework
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Body system framework
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Cephalocaudal framework
Correct Answer
A. Body system frameworkExplanation
In this situation, the body system framework is used for health assessment. The client has undergone Upper GI and Lower GI series, which are diagnostic tests that focus on specific body systems, namely the gastrointestinal system. The body system framework involves assessing each body system separately to gather information about its functioning and any potential abnormalities or issues. This approach allows healthcare professionals to focus on the specific system that is being assessed and provide targeted care and treatment based on the findings.Rate this question:
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- 27.
In assessing the client’s chest, which position best show chest expansion as well as its movements?
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Sitting
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Prone
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Sidelying
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Supine
Correct Answer
A. SittingExplanation
Sitting position allows for better assessment of chest expansion and movements because the client is upright and the chest can expand more freely. In this position, the healthcare provider can observe the rise and fall of the chest, as well as any asymmetrical movements or abnormalities. Additionally, sitting position allows for better access to the anterior and lateral chest wall, making it easier to palpate and auscultate the lungs.Rate this question:
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- 28.
Marianne is now at the Defervescence stage of the fever, which of the following is expected?
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Delirium
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Goose flesh
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Cyanotic nail beds
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Sweating
Correct Answer
A. SweatingExplanation
At the defervescence stage of a fever, the body temperature starts to decrease. Sweating is expected during this stage as it is a mechanism by which the body cools down. The sweat helps to dissipate heat from the body, thus aiding in reducing the temperature. This is a natural response of the body as it tries to regulate its temperature and return to normal. Therefore, sweating is the expected symptom at the defervescence stage of a fever.Rate this question:
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- 29.
Which of the following is NOT a contraindication in taking ORAL temperature?
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Quadriplegic
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Presence of NGT
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Dyspnea
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Nausea and Vomitting
Correct Answer
A. QuadriplegicExplanation
The correct answer is Quadriplegic. Quadriplegia refers to paralysis of all four limbs, typically caused by a spinal cord injury. This condition does not directly affect the ability to take an oral temperature. Contraindications for taking oral temperature include the presence of a nasogastric tube (NGT), as it may interfere with accurate temperature measurement, dyspnea (difficulty breathing), and nausea and vomiting, as these symptoms may make it difficult for the person to hold the thermometer under their tongue.Rate this question:
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- 30.
In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?
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Inspection, Auscultation, Percussion, Palpation
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Palpation, Auscultation, Percussion, Inspection
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Inspection, Palpation, Auscultation, Percussion
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Inspection, Auscultation, Palpation, Percussion
Correct Answer
A. Inspection, Auscultation, Percussion, PalpationExplanation
The correct sequence of physical assessment for assessing the abdomen is inspection, auscultation, percussion, and palpation. Inspection involves visually examining the abdomen for any abnormalities, such as distention or scars. Auscultation involves listening to the bowel sounds using a stethoscope to assess for any abnormal sounds. Percussion involves tapping on the abdomen to assess the density of underlying organs and detect any abnormal fluid or masses. Palpation involves gently pressing on the abdomen to assess for tenderness, organ enlargement, or abnormal masses. This sequence allows for a systematic and thorough assessment of the abdomen.Rate this question:
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- 31.
The primary respiratory center
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Medulla oblongata
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Pons
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Carotid bodies
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Aortic bodies
Correct Answer
A. Medulla oblongataExplanation
The medulla oblongata is the correct answer because it is the primary respiratory center in the brain. It controls the basic rhythm and rate of breathing by sending signals to the muscles involved in respiration. The medulla oblongata also regulates the levels of carbon dioxide and oxygen in the blood, ensuring that the body receives an adequate supply of oxygen and removes excess carbon dioxide.Rate this question:
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- 32.
The primary factor responsible for body heat production is the
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Metabolism
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Release of thyroxin
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Muscle activity
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Stress
Correct Answer
A. MetabolismExplanation
Metabolism is the correct answer because it refers to the chemical processes that occur within the body to maintain life. These processes include converting food into energy, which generates heat as a byproduct. Therefore, metabolism is the primary factor responsible for body heat production.Rate this question:
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- 33.
Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is
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High
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Low
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At the low end of the normal range
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At the high end of the normal range
Correct Answer
A. At the high end of the normal rangeExplanation
The tympanic temperature reading of 37.9 degrees Celsius is considered to be at the high end of the normal range.Rate this question:
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- 34.
Which of the following is a contraindication in taking RECTAL temperature?
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Unconscious
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Neutropenic
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NPO
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Very young children
Correct Answer
A. NeutropenicExplanation
A contraindication in taking RECTAL temperature is being neutropenic. Neutropenia refers to a low level of neutrophils, which are a type of white blood cell that helps fight off infections. Taking a rectal temperature involves inserting a thermometer into the rectum, which can potentially introduce bacteria and increase the risk of infection. Therefore, individuals who are neutropenic, with a weakened immune system, are at a higher risk of developing infections and should avoid rectal temperature measurements.Rate this question:
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- 35.
In palpating the client’s breast, Which of the following position is necessary for the patient to assume before the start of the procedure?
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Supine
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Dorsal recumbent
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Sitting
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Lithotomy
Correct Answer
A. SupineExplanation
The supine position is necessary for the patient to assume before the start of the procedure. This position allows for easy access and examination of the breasts. In the supine position, the patient lies flat on their back with their arms at their sides. This position provides a comfortable and relaxed posture for the patient while also allowing the healthcare provider to effectively palpate the breasts for any abnormalities or lumps.Rate this question:
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- 36.
Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?
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Actual
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Probable
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Possible
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Risk
Correct Answer
A. RiskExplanation
Based on the given information, Nurse Angela knows that Stephen Lee Mu Chin has just undergone an operation near the diaphragm, which increases the likelihood of complications in the future. Therefore, she should develop a nursing diagnosis of "Risk." This indicates that there is a potential for complications to occur due to the recent operation.Rate this question:
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- 37.
Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?
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Provide the necessary draping to ensure privacy
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Open the windows, curtains and light to allow better illumination
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Pour warm water over the ophthalmoscope to ensure comfort
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Darken the room to provide better illumination
Correct Answer
A. Darken the room to provide better illuminationExplanation
Darkening the room before the ophthalmoscope examination is a correct preparation because it helps to provide better illumination. By reducing the amount of external light, the ophthalmoscope can effectively examine the patient's eyes without interference. This allows the doctor to accurately assess the condition of the patient's eyes and make an appropriate diagnosis.Rate this question:
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- 38.
A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client’s urine for glucose without the need for intricate instruments.
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Acetic Acid test
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Nitrazine paper test
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Benedict’s test
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Litmus paper test
Correct Answer
A. Benedict’s testExplanation
The Benedict's test is a technique that allows the nurse to test a client's urine for glucose without the need for intricate instruments. Benedict's reagent is added to the urine sample, and if glucose is present, it will react with the reagent and produce a color change. This test is simple and can be easily performed in a community health setting, making it a resourceful option for the nurse to meet the client's needs.Rate this question:
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- 39.
Which of the following statement is true regarding temperature?
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Oral temperature is more accurate than rectal temperature
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The bulb used in Rectal temperature reading is pear shaped or round
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The older the person, the higher his BMR
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When the client is swimming, BMR Decreases
Correct Answer
A. The bulb used in Rectal temperature reading is pear shaped or roundExplanation
Rectal temperature readings are taken using a thermometer with a bulb that is pear-shaped or round in order to facilitate easy insertion into the rectum. This shape helps to ensure that the thermometer stays in place and provides an accurate reading of the body's internal temperature.Rate this question:
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- 40.
John’s temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?
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Relapsing
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Intermittent
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Remittent
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Constant
Correct Answer
A. IntermittentExplanation
John's temperature fluctuates between normal and feverish levels, indicating that he is experiencing intermittent fever. This type of fever is characterized by periods of normal temperature alternating with periods of fever.Rate this question:
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- 41.
Which of the following need is given a higher priority among others?
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The client has attempted suicide and safety precaution is needed
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The client has disturbance in his body image because of the recent operation
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The client is depressed because her boyfriend left her all alone
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The client is thirsty and dehydrated
Correct Answer
A. The client is thirsty and dehydratedExplanation
Thirst and dehydration are basic physiological needs that must be met in order to maintain proper bodily function. Without addressing this need, the client's health and well-being could be at risk. In comparison, the other options involve psychological or emotional needs, which although important, may not have immediate life-threatening consequences if not addressed immediately. Therefore, addressing the client's thirst and dehydration takes precedence over the other needs mentioned.Rate this question:
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- 42.
In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?
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The nurse scoop the specimen specifically at the site with blood and mucus
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She took around 1 inch of specimen or a teaspoonful
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Ask the client to call her for the specimen after the client wiped off his anus with a tissue
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Ask the client to defecate in a bedpan, Secure a sterile container
Correct Answer
A. Ask the client to call her for the specimen after the client wiped off his anus with a tissueExplanation
Asking the client to call for the specimen after wiping off the anus with a tissue indicates inadequate knowledge and skills about the procedure. In collecting a routine specimen for fecalysis, it is important for the nurse to directly collect the specimen from the site with blood and mucus, take an appropriate amount of specimen (around 1 inch or a teaspoonful), and secure a sterile container. Asking the client to call for the specimen after wiping off the anus with a tissue is not a correct procedure as it may contaminate the specimen and affect the accuracy of the test results.Rate this question:
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- 43.
All of the following are characteristic of the Nursing process except
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Dynamic
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Cyclical
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Universal
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Intrapersonal
Correct Answer
A. IntrapersonalExplanation
The nursing process is a systematic method used by nurses to provide patient care. It involves five steps: assessment, diagnosis, planning, implementation, and evaluation. The characteristics of the nursing process include being dynamic, meaning it is constantly changing and adapting to the patient's needs; cyclical, as it is a continuous and ongoing process; and universal, as it can be applied to all patients regardless of their condition or setting. The term "intrapersonal" refers to an individual's thoughts and emotions, which is not a characteristic of the nursing process.Rate this question:
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- 44.
Which of the following is TRUE about the auscultation of blood pressure?
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Pulse + 4 is considered as FULL
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The bell of the stethoscope is use in auscultating BP
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Sound produced by BP is considered as HIGH frequency sound
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Pulse +1 is considered as NORMAL
Correct Answer
A. The bell of the stethoscope is use in auscultating BPExplanation
The bell of the stethoscope is used in auscultating blood pressure because it helps to detect low-frequency sounds, such as the Korotkoff sounds that are produced when measuring blood pressure. The bell is designed to pick up on these low-frequency sounds more effectively than the diaphragm of the stethoscope, which is better suited for high-frequency sounds. Therefore, using the bell allows healthcare professionals to accurately assess blood pressure readings.Rate this question:
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- 45.
The sequence in examining the quadrants of the abdomen is:
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RUQ,RLQ,LUQ,LLQ
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RLQ,RUQ,LLQ,LUQ
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RUQ,RLQ,LLQ,LUQ
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RLQ,RUQ,LUQ,LLQ
Correct Answer
A. RLQ,RUQ,LUQ,LLQExplanation
The correct answer is RLQ, RUQ, LUQ, LLQ. This sequence follows the clockwise pattern starting from the right upper quadrant (RUQ), then moving to the right lower quadrant (RLQ), followed by the left upper quadrant (LUQ), and finally ending with the left lower quadrant (LLQ). This sequence is commonly used in medical examinations to ensure a systematic approach to assessing the abdomen.Rate this question:
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- 46.
Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?
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Organized and Systematic
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Humanistic
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Efficient
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Effective
Correct Answer
A. HumanisticExplanation
The characteristic of nursing process that addresses the individualized care a client must receive is humanistic. This means that nursing care is focused on the unique needs, preferences, and values of each individual client. It emphasizes the importance of treating clients with respect, dignity, and empathy, and tailoring care to meet their specific needs. The humanistic approach recognizes that each client is a unique individual and requires personalized care to promote their overall well-being.Rate this question:
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- 47.
When palpating the client’s neck for lymphadenopathy, where should the nurse position himself?
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At the client’s back
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At the client’s right side
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At the client’s left side
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In front of a sitting client
Correct Answer
A. At the client’s backExplanation
The nurse should position himself at the client's back when palpating the client's neck for lymphadenopathy. This position allows the nurse to have better access and visibility of the client's neck area. It also ensures that the nurse can palpate the lymph nodes accurately and effectively.Rate this question:
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- 48.
John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?
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Relapsing
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Intermittent
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Remittent
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Constant
Correct Answer
A. RelapsingExplanation
John is experiencing a relapsing fever. This is indicated by the pattern of his temperature fluctuating between normal and high temperatures. Two days ago, he had a fever of 39.5 degrees, then his temperature returned to normal of 36.5 degrees, and today it surged to 40 degrees. This pattern of fever coming and going is characteristic of a relapsing fever.Rate this question:
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- 49.
Which of the following is a primary factor that affects the BP?
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Obesity
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Age
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Stress
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Gender
Correct Answer
A. StressExplanation
Stress is a primary factor that affects blood pressure. When a person is under stress, their body releases stress hormones, such as adrenaline, which can cause an increase in heart rate and blood pressure. This response is known as the "fight or flight" response. Prolonged or chronic stress can lead to consistently high blood pressure, which can increase the risk of cardiovascular diseases. Therefore, stress management techniques are important in maintaining healthy blood pressure levels.Rate this question:
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Mar 22, 2023Quiz Edited by
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Aug 18, 2010Quiz Created by
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